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Metabolic Psychiatry Clinic

The Metabolic Psychiatry Clinic is the world’s first academic specialty clinic which provides evaluation and treatment for patients struggling with psychiatric illness and metabolic abnormalities. Metabolic abnormalities include insulin resistance, pre-diabetes, or unhealthy excess body weight. The clinic aims to help treat patients with the disease of obesity, metabolic syndrome and its associated co-morbidities to reduce cardiovascular risk and improve brain function, while simultaneously addressing mental health. In patients with psychiatric illness, diseases such as obesity, diabetes, and heart disease occur in much greater proportions than the general population. Metabolic dysfunction is often found in a wide range of illnesses including depression, bipolar illness, schizophrenia or psychosis, eating disorders, such as binge eating and bulimia nervosa, and in patients with metabolic side effects from psychotropic medications. The clinic serves as a time-limited consultation clinic and collaborates closely with the Eating Disorder, Bipolar, Women’s Wellness, and Lifestyle Psychiatry Clinic. The clinic also serves as a flagship teaching and training site for medical students and residents interested in Metabolic Psychiatry.

This clinic is not accepting new patients at this time.

Conditions Treated

  • Weight gain
  • Insulin resistance while on or not on psychotropic medications
  • Emotional eating or binge eating
  • Malnutrition
  • Overweight or obesity
  • High blood pressure, cholesterol
  • Impaired glucose tolerance, or prediabetes

This Clinic Provides

  • Access to latest metabolic therapeutic research interventions
  • Psychosocial treatments (including Dialectical Behavioral Therapy, Interpersonal, and Cognitive Behavioral Therapy)
  • Low carbohydrate and ketogenic nutritional approaches
  • Obesity pharmacotherapy
  • Psychiatric medication management, monitoring, and evaluation
  • Sustainable lifestyle changes
  • Coordination of care with primary treating physician to deliver improved outcomes to patient’s mental and metabolic health

Clinical Trials

  • Impact of a Ketogenic Diet on Metabolic and Psychiatric Health in Patients With Bipolar or Schizophrenia Illness

    To initiate a low-carbohydrate, high-fat (LCHF) or ketogenic dietary (KD) intervention among a cohort of outpatients with either schizophrenia or bipolar illness who also have metabolic abnormalities, overweight/obesity, and/or are currently taking psychotropic medications experiencing metabolic side effects.

    Investigator

    Not accepting patients at this time View Details

Clinic Director

Shebani Sethi MD, ABOM
Clinical Associate Professor, Psychiatry and Behavioral Sciences

Faculty and Staff Consultants

Debra Safer
Professor of Psychiatry and Behavioral Sciences (General Psychiatry and Psychology-Adult)
This profile is not available
This profile is not available
Natalie L. Rasgon
Emeritus Faculty-Med Ctr Line, Miscellaneous
Po Wang
Clinical Professor, Psychiatry and Behavioral Sciences
Maryam S. Makowski, PhD
Clinical Associate Professor, Psychiatry and Behavioral Sciences
Lucia Aronica
Casual - Non-Exempt, Medicine - Med/Stanford Prevention Research Center